基于COSMIN指南对中医证候疗效评价量表的系统评价OA

Objective To systematically evaluate the methodological quality and measurement properties of traditional Chinese medicine(TCM)syndrome efficacy evaluation scales,and to provide evidence-based references for selecting high-quality assessment tools in TCM clinical practice.Methods China National Knowledge Infrastruc-ture(CNKI),Wanfang Data,VIP Database,Chinese Biomedical Literature Database(CBM),PubMed,the Cochrane Library,Embase,and Web of Science were searched from inception to April 2,2025,for studies evaluating the mea-surement properties of TCM syndrome efficacy evaluation scales.Data were extracted,and the methodological quality and measurement properties of the included scales were assessed according to the consensus-based standards for the selection of health measurement instruments(COSMIN).Recommendation levels were formulated based on the grading of evidence.Results A total of 46 studies were included,involving 22 generic syndrome efficacy evaluation scales and 24 disease-specific syndrome efficacy evaluation scales.None of the scales reported cross-cultural validity or measurement error.According to the recommendation grades,2 scales met Grade A recommendations and are sug-gested for clinical use;38 scales were classified as Grade B,indicating potential applicability but requiring further validation;and 6 scales were classified as Grade C,suggesting the need for further refinement.Conclusion Existing TCM syndrome efficacy evaluation scales exhibit substantial variability in methodological quality,incomplete report-ing of measurement properties,and insufficient attention to scale revision.Future efforts should emphasize standardized design in the development of TCM syndrome scales,strengthen validation procedures for key measurement properties,and prioritize dynamic revision of scales,thereby providing high-quality tools to support the precise evaluation of syn-drome efficacy.